Cervicobrachial pain syndrome is a condition with heightened mechanosensitivity of neural structures as the primary pathology for symptoms of neck and upper extremity pain. Effectiveness of Shacklock's proposed sliders neurodynamics addressing the neural structures distinctively has not been studied though clinically used. However, conventional treatment is more frequently used for managing patients with cervicobrachial pain syndrome. Thus this study aims to see the effectiveness of sliders neurodynamics as compared to conventional treatment for managing pain and disability in CBPS.
Sample of 34 subjects of age between 18 to 40 years were taken and randomized into experimental (n = 16) and conventional (n = 18) group. Experimental group received median nerve sliders neurodynamics and conventional group received conventional treatment comprising of neck and shoulder exercises and ergonomic advice.
Statistical analysis using non parametric test depicted that subjects of both the group showed statistically significant improvement in pain intensity, elbow extension ROM, NDI and CBSQ scores after completion of treatment (p value < 0.05). However, experimental group receiving sliders neurodynamics showed better improvement as compared to conventional group.
Both the groups showed statistically significant improvement in pain intensity on VAS, pain free elbow extension ROM on MNT-1 and disability scores on NDI and CBSQ. However, experimental group showed better improvement as compared to conventional treatment comprising of exercises and ergonomic advice. Thus, it can be concluded that median nerve sliders neurodynamics is an effective treatment option as compared to conventional treatment for managing pain and disability in CBPS.
mechanosensivity, cervico brachial pain syndrome, neurodynamics
